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Individual
ANGELA L CATALLO
Active
Individual
ANGELA L CATALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
678266
TX
363LA2100X
Acute Care Nurse Practitioner
678266
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190743802 (MDACC)
—
TX
01
—
858N12
BCBS (MDACC)
TX
01
—
8V3849
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/05/2007
Last updated
04/06/2012
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